Question Title

* 1. How worried are you about the coronavirus pandemic in general?

Question Title

* 2. How worried are you about the impact of coronavirus specifically on your health and safety?

Question Title

* 3. Once the senior center is fully open, how easy do you think it will be for you to return to the senior center?

Question Title

* 4. Under what conditions would you return to the senior center?

Question Title

* 5. What concerns do you have about returning to the senior center?

Question Title

* 6. Do you plan to renew your membership on time?

Question Title

* 7. What are the top three challenges you are currently facing?

Question Title

* 8. Would you like the senior center staff/volunteers to contact you and check-in with you during the pandemic? 

Question Title

* 9. If yes, how would you like the senior center staff/volunteers to contact you?     

Question Title

* 10. If yes, how often you would you like senior center staff/volunteers contact you?

Question Title

* 11. Have you participated in any of the online programs that the senior center has offered?  

Question Title

* 12. What other type of online classes or services would you like to see offered by the senior center?

Question Title

* 13. If you did not participate in online programming, why not?  

Question Title

* 14. Would you like the online/virtual programs to continue when the senior center re-opens?

Question Title

* 15. Other comments, questions or concerns you would like to share with the senior center staff?    

Question Title

* 16. What is your gender?    

Question Title

* 17. What is your age?           

Question Title

* 18. Do you live alone?

Question Title

* 19. You are/were a member of which senior center? 

Question Title

* 20. Is your senior center membership currently active?

Question Title

* 21. If you are not planning to renew your membership on time or at all, please tell us when you plan to rejoin and why you are not rejoining.

0 of 21 answered
 

T